Lavage with diluted surfactant as a treatment option for atelectasis in pediatric intensive care patients

Ilić, Maja Karaman; Madzarac, Goran; Babić, Irena; Milavić, Boris

doi:10.13112/pc.2015.6

Cited by 1 publication

(1 citation statement)

References 27 publications

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“…In two separate studies, Krause et al and Karaman reported successful atelectasis reexpansion with bronchoscopic guided surfactant administration in mechanically ventilated patients, without complications. 5,12 F I G U R E 5 Right upper lobe atelectasis resolution in spinal muscular atrophy type I patient.…”

Section: Discussionmentioning

confidence: 99%

Bronchoscopic treatment of pediatric atelectasis: A modified segmental insufflation‐surfactant instillation technique

Šapina,

Olujic,

Nađ

et al. 2023

Pediatric Pulmonology

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BackgroundAtelectasis is a condition characterized by the collapse and nonaeration of lung regions and is considered a manifestation of an underlying disease process. The goal of atelectasis treatment is the restoration of volume loss. In the range of different treatment options, chest physiotherapy is often used as a first‐line approach, and some cases require bronchoscopic interventions.MethodsIn this case series, we describe a modified bronchoscopic treatment procedure using pressure‐controlled bronchoscopic segmental insufflation with surfactant application.ResultsThe proposed approach resulted in significant improvement of lung volume across a range of patients including massive lobar, atypical rounded atelectasis in previously healthy patients, and in a particularly challenging case involving an infant suffering from spinal muscular atrophy type I.ConclusionThe modified segmental insufflation‐surfactant instillation technique offers a safe and promising easily implementable treatment of persistent atelectasis caused by different underlying disease processes with positive long‐term outcomes.

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Section: Discussionmentioning

confidence: 99%